A 60 yrs old pt presenting with dysphagia of 6 wks thiration with solid foods now can swallow only liquids. Investigations done to diagnose her are-A. CxR.
B. Ba Swallow.
C. Endoscopy
D. USG
E. CT Scan.
B. Ba Swallow.
C. Endoscopy
D. USG
E. CT Scan.
Ans A. CXR ; (B) Ba- swallow (C) Endoscopy (D) USG ;
(E) CT-Scan.
Progressive dysphagia and
weight loss of short duration are initial symptoms in vast majority
of the cases of esophageal carcinoma. Dysphagia
initialy for solid foods and gradually
progressive to semisolids and liquids suggestive of Ca esophagus. Esophagoscopy is the preferred investigation as it can visualise the tumour and
biopsy can be done for definite diagnosis.
• Ba-swallow is helpful for diagnosis ;irregular filling defects are seen in
oesophagus.
• Chest CT scan — to detect extent of the tumour to mediastinum and para aortic
lymph nodes.
• A 60 yrs old patient with H/o dysphagia initially to solids & gradually
to liquids is a case of Ca esophagus.